person
Mr. Karis Lavon Jackson SR.
Electroneurodiagnostic Specialist/Technologist in Tulsa, Oklahoma
NPI 1073887808

Karis Lavon Jackson SR. is a Electroneurodiagnostic Specialist/Technologist based in Tulsa, OK and is specialized in Electroneurodiagnostic. Karis Lavon Jackson SR. practices in Tulsa, OK. The NPI Number for Karis Lavon Jackson SR. is 1073887808 and holds a License No. 1194001412 (Oklahoma).

The current practice location address for Karis Lavon Jackson SR. is 218 S 182Nd East Ave, Tulsa, OK and can be reached out via phone at 918-691-8579.

Location: 218 S 182Nd East Ave, Tulsa, OK, 74108-2133
person
Provider Profile Details
NPI Number
1073887808
Provider Name
Karis Lavon Jackson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
218 S 182Nd East Ave, Tulsa, OK, 74108-2133
Phone Number
918-691-8579
Fax Number
Provider Enumeration Date
02/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
218 S 182Nd East Ave
City
State
Zip
74108-2133
Phone Number
918-691-8579
Fax Number
person
Provider Business Mailing Address Details
Address
218 S 182Nd East Ave
City
State
Zip
74108-2133
Phone Number
918-691-8579
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
1194001412 (Oklahoma)
Definition
Definition to come...
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